Pacifica SL McMinnville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA SL MCMINNVILLE LLC

Doing business as

Pacifica Senior Living McMinnville

Practice address

320 SW Hill Rd
McMinnville, OR 97128-9133

Phone

(503) 472-3509

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deepak Israni

Title

General Manager

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Other names 1

• Pacifica Senior Living McMinnville Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1316307440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK ST",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102034",
            "telephone_number": "619-296-9000",
            "fax_number": "619-296-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SW HILL RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289133",
            "telephone_number": "503-472-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SL MCMINNVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living McMinnville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osprey Court
• Launa Marie Ottele
• Pacific Kidney & Hypertension, LLC (Oregon Kidney & Hypertension Clinic)
• Pacific Northwest Psychology Associates
• Pacific Northwest Renal Services, L.L.C. (PNRS-McMinnville Kidney Center)
• Roberta S Packard, RN
• Larry Allen Paddock Jr., CSFA
• Richard D Page, CHIROPRACTOR
• Janice M Paine
• Sarah Elizabeth Pancoast

• Assisted Living Facility in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.